Skip to main content
Log in

Assessment of two self-reporting questionnaires for eating disorders in women

  • Original Research Paper
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Objective: The goals of this study were to evaluate how well the Eating Disorder Inventory (EDI) predicted specific eating disorders as identified by the Survey of Eating Disorders (SED), and to identify the most predictive EDI scales. An additional goal was to evaluate the EDI as a screening instrument for eating disorders among a large nonclinical group of women. Method: The community-based study sample consisted of 1245 Norwegian women between age 18 and 50 years (mean 23). Subjects filled out the EDI and the SED. Results: The strongest predictors of SED-defined eating disorders were the EDI scales bulimia (BN) and drive of thinness (DT) and body mass index (BMI). When we classified women with an EDI sum score of 40 or higher as having an eating disorder (ED), the sensitivity was 38% and the specificity was 90%, compared to the SED diagnosis of ED. Discussion: Our findings suggest modest agreement between the EDI and the SED, and modest sensitivity and specificity of the EDI. While these instruments, perhaps with some modification, may be adequate for use in selected research applications, they should probably be supplemented with additional information in a clinical or treatment setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Becker A.E., Grinspoon S.K., Klibanski A., Herzog D.B.: Current concepts: Eating disorders. N. Engl. J. Med., 340, 1092–1098, 1999.

    Article  PubMed  CAS  Google Scholar 

  2. Goldfein J.A., Walsh B.T., Midlarsky E.: Influence of shape and weight on self-evaluation in bulimia nervosa. Int. J. Eat. Disord, 27, 435–445, 2000.

    Article  PubMed  CAS  Google Scholar 

  3. Hadigan C.M., Walsh B.T.: Body shape concerns in bulimia nervosa. Int. J. Eat. Disord., 10, 323–331, 1991.

    Article  Google Scholar 

  4. Garfinkel P.E., Goldbloom D., Davis R., Olmsted M.P., Garner D.M., Halmi K.A.: Body dissatisfaction in bulimia nervosa: Relationship to weight and shape concern and psychological functioning. Int. J. Eat. Disord., 11, 151–161, 1992.

    Article  Google Scholar 

  5. Cooley E., Toray T.: Body image and personality predictors of eating disorder symptoms during the college years. Int. J. Eat. Disord., 30, 28–36, 2001.

    Article  PubMed  CAS  Google Scholar 

  6. Raciti M.C., Norcross J.C.: The EAT and EDI: screening, interrelationships, and psychometrics. Int. J. Eat. Disord., 6, 579–586, 1987.

    Article  Google Scholar 

  7. Fichter M.M., Herpertz S., Quadflieg N., Herpertz-Dahlmann B.:. Structured Interview for Anorexic and Bulimic Disorders for DSM-IV and ICD-10: Updated (Third) Revision. Int. J. Eat. Disord, 24, 227–249, 1998.

    Article  PubMed  CAS  Google Scholar 

  8. Black C., Wilson G.T.: Assessment of eating disorders: Interview versus questionnaire. Int. J. Eat. Disord., 20, 43–50, 1996.

    Article  PubMed  CAS  Google Scholar 

  9. Bennett K., Stevens R.: The internal structure of the Eating Disorder Inventory. Health Care Women Int., 18, 495–504, 1997.

    Article  PubMed  CAS  Google Scholar 

  10. Joiner T.E., Heatherton T.F.: First- and secondorder factor structure of five subscales of the Eating Disorders Inventory. Int. J. Eat. Disord., 23, 189–198, 1998.

    Article  PubMed  Google Scholar 

  11. Casper R.C.: Recognizing eating disorders in women. Psychopharmacol. Bull., 34, 267–269, 1998.

    PubMed  CAS  Google Scholar 

  12. Garner D.M., Olmsted M.P., Polivy J.: Development and validation of a mulitidimensional eating disorder inventory for anorexia nervosa and bulimia. Int. J. Eat. Disord., 2, 15–34, 1983.

    Article  Google Scholar 

  13. Garner D.M.: Eating Disorder Inventory-2, professional manual. Psychol. Assess. Res., Odessa, Fl., 1991.

    Google Scholar 

  14. Sundgot-Borgen J.: Prevalence of eating disorders in elite female athletes. Int. J. Sports Nutr., 3, 29–40, 1993.

    CAS  Google Scholar 

  15. Götestam K.G., Agras W.S.: General populationbased epidemiological study of eating disorders in Norway. Int. J. Eat. Disord., 18, 119–126, 1995.

    Article  PubMed  Google Scholar 

  16. Augestad L., Flanders W.D.: Eating disorder behavior in physically active Norwegian women. Scand. J. Med. Sci. Sports, 12, 248–255, 2002.

    Article  PubMed  Google Scholar 

  17. American Psychiatric Association: Diagnostic and statistical manual of mental disorders (DSMIV). Washington D.C., APA, 1994.

    Google Scholar 

  18. Ghaderi A., Scott B.: Prevalence and psychological correlates of eating disorders among females aged 18-30 years in the general population. Acta Psychol. Scand., 99, 261–266, 1999.

    Article  CAS  Google Scholar 

  19. Götestam K.G., Eriksen L. Hagen H.: An epidemiological study of eating disorders in Norwegian psychiatric institutions. Int. J. Eat. Disord., 18, 263–268, 1995.

    Article  PubMed  Google Scholar 

  20. Götestam K.G., Eriksen L., Heggestad T., Nielsen S.: Prevalence of eating disorders in Norwegian general hospitals 1990–94: Admissions per year and seasonality. Int. J. Eat. Disord., 23, 57–64, 1998.

    Article  PubMed  Google Scholar 

  21. Taraldsen K., Götestam K.G., Eriksen L.: Eating disorders in a psychiatric outpatient clinic. Int. J. Eat. Disord., 9, 519–528, 1996.

    Google Scholar 

  22. Hanely J.A., McNeil B.J.: The meaning and use of the area under a received operating characteristic (ROC) curve. Radiology, 143, 29–36, 1982.

    Google Scholar 

  23. Flanders W.D., Tucher B., Krishnadosen A., Martin D., Honeg E., McClellan W.M.: Validation of the pneumonia severity index. Importance of study recalibration. J. Gen. Intern. Med., 14, 333–340, 1999.

    Article  PubMed  CAS  Google Scholar 

  24. Welch G., Hall A.: The reliability and discriminate validity of three potential measures of bulimic behaviors. J. Psychol. Res., 23, 125–133, 1989.

    Article  CAS  Google Scholar 

  25. Striegel-Moore R.H., Dohm F.A., Solomon E.E, Fairburn C.G., Pike K.M., Wilfley D.E.: Sub threshold Binge Eating Disorder. Int. J. Eat. Disord., 27, 270–278, 1999.

    Article  Google Scholar 

  26. Carter J.C., Aimé A.A., Mills J.S.: Assessment of Bulimia Nervosa: A comparison of interview and self-report questionnaire methods. Int. J. Eat. Disord., 30, 187–192, 2001.

    Article  PubMed  CAS  Google Scholar 

  27. Tsuang M.T., Tohen M., Zahner G.E.P.: Textbook in psychiatric epidemiology. New York, Wiley- Liss, 1995.

    Google Scholar 

  28. Somervell P.D., Beals J., Kinzie D., Boehnlein J., Leung P., Manson S.M.: Criterion validity of the center for epidemiologic studies Depression Scale in a population sample from an American Indian village. Psychol. Res., 47, 255–266, 1993.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L. B. Augestad M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Augestad, L.B., Flanders, W.D. Assessment of two self-reporting questionnaires for eating disorders in women. Eat Weight Disord 8, 12–19 (2003). https://doi.org/10.1007/BF03324984

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324984

]Key words

Navigation